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High SMAS Face and Neck Lift

A High SMAS Face and Neck Lift is offered by Dr Jack Zoumaras in Sydney. Trained and inspired by Dr Timothy Marten in San Francisco a High SMAS Face and Neck Lift is a cutting edge technique to meet your goals.

Not many Surgeons in Australia offer this specific technique.

A High SMAS Facelift will lift the lower eyelid, cheek, nasolabial folds, mid face, jowl and neck.It is best for lower eyelid hollowing, deep naso labial folds, jowls, and neck laxity or a double chin.

Dr Jack Zoumaras, Key Note Speaker

Video: What is high smasface and neck lift

Learn about the types of facelift procedures Dr Jack Zoumaras offers and why patients commonly consider a facelift.

Model featured in photography

Before After
Before After

Why High SMAS

A good modern facelift, lifts the deep layer of the face (layer 3-see below) to reposition the cheeks, mid face and jowls. A High SMAS Facelift goes further by lifting the deep layer of the face (SMAS) at its highest possible position in line with the orbital rim and all the way down to include the neck laterally and centrally. This flap lifts the entire face and neck for the best result.

Traditional Smas facelifts lift the SMAS below the cheek bone. A High SMAS Facelift designs the flap in line with the orbital rim high on the cheek bone. You can see in the diagrams re-printed with permission from Dr Marten that the High SMAS Vector design is high and therefore lifts the lower eyelid and mid cheek.

A High SMAS Facelift is more powerful than traditional SMAS techniques because it lifts the entire face from the lower eye and the neck in one flap.


Why Dr Zoumaras technique is different

Dr Jack Zoumaras is 2017 and 2019 peer reviewed Vogue Face Surgeon and his practice is only Face. He has been trained by world leaders from San Francisco, New York and Paris. Training with the best to become one of the best. He is current chairman of the Australian Society of Plastic Surgeons NSW Chapter and a specialist Plastic surgeon. He is one of only a few plastic surgeons to offer a High SMAS Facelift and Deep Plane Facelift.

The inspiration for Dr. Jack Zoumaras is to be the best facelift surgeon he can be. This means constant self reflection and critique and higher learning. This ensures that every aspect of the technique from the injection of the local anaesthetic, background classical music, positioning of the patient, careful planning of the incision ensures a superior outcome with all the bells and whistles.

A Facelift is not meant to be a fast operation, it is an operation that takes time (minimum 3-4 hours and up to 6-7 hours) when executed with real finesse and attention to detail.

The use of structural fat grafting with 24K (insert link to Fat transfer page) is our secret weapon in Facelifts. Fat grafting will not only augment facial volume it provides a stem cell matrix to the skin. This illuminates the skin and has your skin looking firmer with fewer blemishes. It ensures your facelift is not just anti-ageing nourishing.

careful incision placementMeticulous placement of the incision behind the tragus of the ear, along the hairline in the temple, behind the ear and along the posterior hair line ensures an inconspicuous scar.

Further attention by placing the incision along the hair follicles at a bevelled 45 degree angle ensures hair will grow around camouflaging the incision.

You don’t need to worry about facelift scarring with Dr Zoumaras because you won’t see it and nor will anyone else. There will be scarring but not be visible easily.

By lifting the SMAS with a Deep Plane Face Lift the tension is placed deep. The excess skin is simply removed with no tension and the direction of muscle pull is vertical and not horizontal. This eliminates any wind blown affect or “pull” affect.

A lip lift will augment the upper lip, shorten the distance from the lip to nose and of course lift the lip. It involves removing skin from just beneath the nose with the incision concealed at the base of the nose.

Adding a lip lift to the facelift doesn’t just lift the lip and make the upper lip look fuller it improves the mid face, by balancing the mid face. This will add to your facelift look.

This patient is a 67 yo post High SMAS Face and Neck LiftA chemical peel is included with your facelift for skin blemishes and fine lines. A peel is done on areas not lifted such as the lower eyelid, nose and forehead. Dermabrasion is used around the mouth for vertical rhytids/deep wrinkles to smooth this region. The combination of a chemical peel and dermabraison ensures a total approach to the face.

This patient is a 67 yo post High SMAS Face and Neck Lift.

Dr Jack Zoumaras

Dr Jack Zoumaras with Dr Timothy Marten in San Francisco.


To understand how best to lift the face, one must have a deep and thorough understanding of Facial Anatomy, and the anatomy of facial ageing. This ensures that your facelift result will not be “plastic”, but rejuvenating, natural, and amazing. World-Trained Facelift Surgeon, Dr Jack Zoumaras, is a peer reviewed Plastic Surgeon, and knows how to respect your anatomy and respect your unique facial appearance.

Facial Anatomy

The Face consists of 5 concentric layers that differ in consistency in different parts of the face.
  • Layer 1 is Skin which is thickest around the cheek and nose, and thinnest on the eyelids and temple.
  • Layer 2 is Fat which is prominent around the cheeks and negligible in the eyelids (the fatty “bags” that we see under the eyelids comes from a deeper layer (deeper even than Layer 5).
  • Layer 3 is the Superficial Musculoaponeurotic System (SMAS), a muscle layer that allows us to be humans, it is responsible for allowing us to talk, smile, whistle, sing, open and close our eyes, and for all facial animations.
  • Layer 4 is a space that contains Ligaments, Facial nerves and Vessels. The ligament holds the upper three layers and rests on Layer 5. The ligament is at its thickest in Layer 4 and branches into the dermis of the skin, akin to fine branches of a tree.
  • Layer 5 is bone where the ligament holding up the facial anatomy resides on (Cheek and Jaw bones). In the cheek and neck there is no bone and it is deep fascia that is representative of layer 5.
Facial anatomy chart showing the five skin layers

The Ageing Face

An Ageing face causes skin laxity(1), loss of facial volume (2), loss of muscle tone and descent of muscle (3), attenuation of the ligament (4) which compounds the ageing change in the top three layers. The structure of the face (5) also loses thickness. These changes cause lower eyelid hollowing, deep naso-labial folds, marionette lines and jowling.
A clinical chart showing the ageing process of a face

A High SMAS Face and Neck Lift lifts layers 1-2 in a single flap. The SMAS layer (3) is then designed High and lifted deep to the muscle, like a deep plane, from the lower eyelid to the neck. This will correct the jowls, nasolabial folds and eyelid hollowing and lift the neck.

Your goals for an ageing face, will be met with a facelift.


5 hr procedure

1 night in hospital

2 weeks unsociable​

Qualified facelift plastic surgeon:

- World-trained Dr Jack Zoumaras
- Qualified Anaesthetist, Accredited hospital

Results: Firmer skin, lifted jowls, rejuvenated neck.

Investment in yourself

Facelift surgery risks include bleeding, nerve weakness, scarring and more

You will feel:

*Level V Evidence: How you will feel after plastic surgery varies between individuals depending on psychological and physical factors, our internal research is based on how patients in our practice feel after surgery. This research is pending publication-details to follow.

Model featured in photography

Dermabrasion works by providing a physical abrasive force through a diamond burr to cause  controlled injury to the skin. The skin responds by healing with firmer collagen and less lines.

A chemical peel causes a controlled chemical injury to the skin. This then promotes the skin cells and collagen to re-model during healing which helps with blemishes, skin tone and fine wrinkles

A chemical peel is added with a Facelift to assist in rejuvenating the skin.

All procedures have risks. We can assure you as a specialist Plastic Surgeon Dr Jack Zoumaras will go through all the possible risks. Your procedure will be done in an accredited hospital and with an accredited anaesthetist. Any issues that may arise, although rare, can be dealt with safely by Dr Jack Zoumaras. Overall a Facelift is safe with a low risk profile.

A facelift will last between 7-15 years depending on the type of lift you have. The reason why it does not last forever is because you will still age after the surgery. However, your Face will always look more youthful.

A Facelift will be noticeable for  ALL for the right reasons. You will look rejuvenated, fresh, youthful and amazing. You will have friends wondering why you look so good, but it will all look so natural.

An Artiste Facelift by Dr Jack Zoumaras will not make you look fake. Having a deep understanding of the anatomy of the ageing process will ensure you will not have a “pulled” look or “windswept” look. Part of the reason is because the muscle and ligaments are lifted and skin is used as a covering and it is not stretched.

A Facelift will feel tight, but is not a painful procedure. Your comfort levels will be monitored for the first 24 hours after surgery and once you are home, it is expected that simple paracetamol will be enough to manage your comfort levels.

This depends on what type of work that you do.

It is advised that you can return at the earliest at 14 days. Most of our patients take between 3-4 weeks off work to ensure all evidence of Plastic Surgery can be hidden. That being said we have had some patients who are self employed, and have returned to work after 10 days.

You can wear makeup on your face once the sutures come out on Day 7.

Your hair will be washed immediately after your Facelift. Following this we encourage you to wash your hair on Day 3. Most of our patients prefer to wait until Day 5 when the drains are removed.

At Artiste Plastic Surgery Dr Jack Zoumaras unique technique and care of the tissues with his surgical finesse will ensure that bruising will be minimised. Following your surgery, the use of surgical drains for the first 5 days will ensure bruising is minimised. For the first week we use our LED light multiple times to improve blood flow to your face and expedite the healing.

Bruising is expected for the first 7 days. In fact most bruising will begin to appear after Day 2 and peak at Day 5. The bruising will begin to settle significantly over the next 10 days. You will still have residual bruising between week 2 and 3.

After 7 days you can go out for a walk and then lightly jog after 2 weeks. Between 2-6 weeks, light activity can be undertaken on an individual basis. It is expected that you can return to normal physical activity after 8 weeks.

You go for short walks after 7 days followed by jogging at 2-3 weeks. By 4 weeks you can do light physical activity. It is expected that you can resume normal gym activity at two months.

The immediate downtime for a Facelift is 10 days, and it is expected that you can take up to 3 weeks to recover. Many of our patients take one month off before returning to work or social activities. Each individual varies and we have had patients fly internationally and return to work after 10 days.

A Facelift is a procedure that requires a one night stay in the hospital. You will then be asked to rest at home and attend our clinic over the next 10 days to attend to dressings and receive LED light treatment (to aid in healing). The downtime is up to 3 weeks.

Dr Jack Zoumaras has dedicated his Plastic Surgery profession to surgery on the Face as this was his area of interest since the start of his internship as a doctor. Further to this he has been inspired through his work in the best facelift centres around the world from San Francisco to New York and Paris, where he learned from the best, to become one of the best. Dr Jack Zoumaras has been invited by his peers to teach on Facelift anatomy and to present to other Plastic Surgeons on the international stage. Despite Dr Jack Zoumaras never saying that he is the best, he has been told by other Plastic Surgeons that he is the next up and coming Face lift Plastic Surgeon.

Yes. A Facelift will lift the jowls and this will indirectly improve the jawline as the two are associated. Lifting of the facial skin will also define the lateral neck-line and improve skin tone in the neck. So the answer is yes it will lift the neck, but cannot lift it to the same extent as a neck lift would.

The anatomy of the ageing face applies to the neck as the layers are continuous. A neck lift is complementary to a facelift but it does not need to be done at the same time. This is a personal choice based on the outcome you want and the financial investment you want to make. From an operative point of view it will take an additional 90 minutes and you will have a slightly longer incision.

A traditional Facelift lifts the muscle (SMAS) in order to correct facial ageing changes, such as jowling and marionette lines. This SMAS lift occurs at the cheek level.

The High SMAS facelift lifts the muscle higher than the cheek. The High SMAS Facelift is designed to lift the SMAS as high as the orbital rim (Lower Eyelid area) and detaches the underlying ligaments to lift the lower eyelid, mid face, cheek, jowl and neck area. A High SMAS is an advanced technique that is uniquely offered by Dr Jack Zoumaras (he is an expert on this particular technique).

The SMAS is the superficial muscolo-aponeurtoic system of the face (Layer 3)

The SMAS is responsible for all facial expressions, animations and functions such as opening and closing the eye and mouth. The SMAS is suspended to the underlying bone with facial ligaments and when these structures weaken and fall, you get signs of ageing such as lower eyelid hollowing and jowls.

A PonyTail Facelift is a cutting edge procedure offered by Dr Jack Zoumaras at Artiste Plastic Surgery. A PonyTail facelift will lift your eyebrow, eyelid area and upper cheek to rejuvenate an glamourise/enhance your look. Through an inconspicuous incision in the hairline; the brow, upper eyelid and cheek are lifted to give you a refreshed look. In much the same way that you place your hair in a PonyTail and lift the upper part of the face a Pony Tail lift will do this on a permanent basis. The Pony Tail lift is suitable for patients between the ages of 35 to 45.

Everybody would love to know the cost of a Facelift before embarking on the surgery but this is difficult much like it is to get a quote on renovating your kitchen without a builder or designer measuring the dimensions of your kitchen and then asking what appliances and materials that you would like. For a Facelift the many variables include assessment of cheek, neck area, jowls, naso-labial fold, eye area and brow. This assessment is then combined with what you want done with your face and what are the areas that you most want rejuvenated and what your goals are.

Dr Jack Zoumaras is a Specialist Plastic and Cosmetic Surgeon, and a Peer Reviewed Facelift Surgeon.  He has trained internationally, in New York and Paris, by the best Facelift surgeons in the world. Having a unique and technical understanding of the anatomy of the ageing process, takes years of training and experience, and it is this, combined with Surgical Finesse, that enables Dr Jack Zoumaras to ensure that your Facelift gives you the best possible results.

Dr Jack Zoumaras offers three options for your face. The guideline investment for a facelift to get you looking fresh (and no longer tired) varies $32-40k for the surgical fee alone. Hospital and anaesthetic fees to keep you safe are outlined here.

A PonyTail Facelift starts from around $18k.

It is common for patients to combine other treatments and surgeries with facelift surgery to achieve total facial rejuvenation that cannot be achieved through a facelift alone. Commonly combined procedures include a neck lift, blepharoplasty, brow lift, skin peels, and/or dermabrasion.

Not all patients suffer from volume loss in the cheeks; some have excess fat deposits that create chubby cheeks. Buccal fat removal eliminates excess fat from the cheeks to improve your facial contour.

The quality of your results rely heavily on the person performing your procedure. Dr Zoumaras has specialised facelift training. His education, technique, and attention to detail allow him to achieve results so natural that nobody will be able to tell you’ve undergone surgery. Dr Zoumaras devotes a whole day’s operating to your face, which highlights the care and finesse he applies during surgery.

Any patients with visible signs of aging such as wrinkles, drooping skin, or volume loss are good candidates. This usually begins around 40 years of age and becomes more common among patients that are 50 or 60 years old.

All facelift surgeries are performed with the patient under general anesthesia.

As Seen On

Plastic Surgeon Appeared in 7 News | Dr Jack Zoumaras
Cosmopolitan Magazine
Marie Claire Magazine
Vogue Magazine
Woman's Day
The Project

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